Ayiku ƒe Ʋuʋu (Hydronephrosis): Mina míasrɔ̃ nu tso nusiwo gbɔ wòtso, dzesi siwo wòɖena fiana, kple atikewɔwɔ ŋu le mɔ bɔbɔe aɖe nu!

Ðe nèse le ɖokuiwò me be yeƒe akɔta alo ƒodo le veve sem vevie kpɔa? Alo ɖe nèse le ɖokuiwò me be yewɔ nuku alo nèle veve sem ne èle aɖuɖɔ ɖum? Esiawo ate ŋu anye kuxi na wò ayiku ɣeaɖewoɣi. Egbea míele nu ƒom tso nɔnɔme aɖe si do ƒome kple ayiku ŋu si ame geɖe menya o. Woyɔa esia be Hydronephrosis.

Nuka tututue nye hydronephrosis?

Kpuie ko la, esiae nye ne nane xe mɔ na aɖuɖɔ ƒe sisi tso wò ayiku me yi wò tsinyegoe me. Bu eŋu abe tsi ƒe pɔmpi si tsi titina ene. Nukae dzɔna ɣemaɣi? Aɖuɖɔa mete ŋu dona o eye wòƒoa ƒu ɖe ayiku la me, si wɔnɛ be ayikua vuvu. Woyɔa ayiku ƒe vuvu sia be Hydronephrosis.

Esia ate ŋu adzɔ kpata, alo ate ŋu adzɔ vivivi le ɣeyiɣi aɖe megbe. Ɣeaɖewoɣi la, tsinyegoea xena keŋkeŋ, ɣeaɖewoɣi la, mexea mɔ boo o.

• Ne ayiku ɖeka koe wòdze la: woyɔnɛ be `unilateral hydronephrosis`.
• Ne ayiku eveawo siaa dze dɔ: Woyɔnɛ be `bilateral hydronephrosis`.

Esia ate ŋu atso abi si nu mesẽ o dzi va ɖo esi nu sẽ ŋutɔ. Atikewɔwɔ kaba ate ŋu aɖe afɔku si le nusiwo agblẽ le ame ŋu ɣeyiɣi didi me dzi akpɔtɔ, eyata ele vevie be nànya esia.

Be míase esia gɔme la, mina míalé ŋku ɖe alesi míaƒe aɖuɖɔtoedɔwɔɖoɖo wɔa dɔe ŋu gbã.

Dɔ vevitɔ si míaƒe ŋutilã ƒe aɖuɖɔtoewo wɔnae nye be wòaɖe gbeɖuɖɔ kple tsi si sɔ gbɔ ɖe eme ɖa. Nuɖoanyi sia ƒe akpa vevi ʋɛ aɖewo li:

• Ayikuwo: Esiawoe nye nu vevi eve siwo tsia míaƒe ŋutilã me. Ayikuawo ɖea aɖinuwo kple gbeɖuɖɔwo ɖa le ʋua me eye wowɔa aɖuɖɔ.
• Aɖuɖɔtoe eve: Esiawoe nye mɔ̃ eve siwo tsɔa aɖuɖɔ, si dona le ayiku me, yia tsinyegoea me.
• Tsinyegoe: Esiae nye kotoku si ƒoa aɖuɖɔ nu ƒu.
• Aɖuɖɔtoe: Aɖuɖɔ si ƒoa ƒu ɖe tsinyegoea me la dona le ŋutilãa me to mɔ̃ sia me.

Zi geɖe la, tsi ƒe dɔmawɔmawɔ nyuie dzɔna ne mɔxenu aɖe le ayiku kple tsinyegoe dome le afi aɖe.

Aleke nàwɔ anya ne hydronephrosis le ŋuwò? Nukawoe nye dzesiawo?

Zi geɖe la, dzesiawo nɔa te ɖe nusi gbɔ wòtso dzi. Ðewohĩ dzesi aɖeke manɔ ame aɖewo ŋu kura o. Vevietɔ le vidzĩ siwo ŋu tsi ƒe dɔmawɔmawɔ nyuie le le vidzidɔ me gome la, dzesiawo mate ŋu adze le wo dzidzi megbe hafi.

Gake ne dzesiawo dze la, woate ŋu adze abe alea ene.

Nukatae Hydronephrosis dzɔna? Nukawo koŋ gbɔe wòtsona?

Nusi koŋ gbɔ esia tsoe nye mɔxenu alo xexe le aɖuɖɔtoea ƒe akpa aɖe. Nu vovovowo ate ŋu ahe mɔxenu sia vɛ.

Nusiwo gbɔ wòtsona zi geɖe siwo gblẽa nu le ame tsitsiwo ŋu

• Ayiku me kpewo: Nusi gbɔ wòtsona wue nye kpe siwo gena ɖe ayiku alo aɖuɖɔtoe me.
• Dɔdzẽwo: Dɔdzẽ alo dɔdzẽ si me dɔlékui aɖeke mele o si le tsinyegoe, tsinyegoe, vidzidɔ, alo ŋutinu bubu si te ɖe aɖuɖɔtoe ŋu ate ŋu ana aɖuɖɔtoea naxe.
• Benign Prostatic Hyperplasia (BPH): Ne ŋutsuwo le tsitsim la, ʋuka si me ʋu sina tona ate ŋu alolo, si ana tsinyegoea nate ɖe aɖuɖɔtoea dzi eye wòaxe mɔ na aɖuɖɔtoe.
• Aɖuɖɔtoea ƒe ʋuʋu: Aɖuɖɔtoea ate ŋu axe le abi siwo le eŋu le afɔku, dɔlékuiwo xɔxɔ, vidzidzi ƒe gbɔdzɔgbɔdzɔ, alo amekoko megbe ta.
• Lãmetsi alo lãmekawo ƒe kuxiwo: Lãmetsiŋusẽ ƒe dɔléle siwo gblẽa nu le ayiku alo aɖuɖɔtoe ƒe dɔwɔwɔ ŋu.
• Vesicoureteral Reflux: Aɖuɖɔ si tso tsinyegoea me to tsinyegoewo me yi ayikuwo me yi megbe.
• Ureterocele: Nɔnɔme si me tsinyegoe ƒe nuwuwu si le ete la dona ɖe tsinyegoea me.

Susu siwo ku ɖe nyɔnuwo koŋ ŋu

• Fufɔfɔ: Ne vidzidɔa le tsitsim le fufɔɣi la, ate ŋu aƒoe ɖe tsinyegoeawo nu eye wòaxe mɔ na aɖuɖɔtoewo ƒe sisi.
• Vidzidɔa ƒe gege: Vidzidɔa ɖiɖina tso afisi wònɔna ɖaa.
• Cystocele: Nɔnɔme si me gli si le tsinyegoe kple nyɔnu ƒe vidzidɔ dome gbɔdzɔna, si wɔnɛ be tsinyegoea dona ɖe nyɔnu ƒe vidzidɔa me.

Aleke ɖɔktaa awɔ anya ne nɔnɔme sia li?

Esi wònye be hydronephrosis ate ŋu agblẽ ayiku me ɣeyiɣi didi ta la, ele vevie ŋutɔ be woayi ɖɔkta kaba ale si nàte ŋui be woakpɔ dɔlélea.

Wò ɖɔkta azã dodokpɔ siawo atsɔ anya dɔléle sia:

• Lãmesẽdodokpɔ: Wò ɖɔkta abia wò dzesiwo eye wòalé ŋku ɖe wò ayiku kple tsinyegoe ƒe akpa si nèvuvu alo vevesese ŋu hã. Woabia nya tso wò kple wò ƒomea ƒe atikewɔwɔ ŋutinya hã ŋu. Ne ŋutsue nènye la, woate ŋu awɔ dɔgbo ƒe dodokpɔ atsɔ akpɔe ɖa be ʋuka si me ʋu sina tona la lolo hã, eye ne nyɔnue nènye la, woate ŋu awɔ nyɔnu ƒe vidzidɔ dodokpɔ atsɔ akpɔe ɖa be kuxi aɖewo le wò vidzidɔ alo azigolowo ŋu hã.
• Aɖuɖɔtoedodokpɔ: Woɖea aɖuɖɔtoe hekpɔa ʋu, kpe kakɛwo, dɔlékuiwo, alo dɔlékuiwo hã.
• Ʋudodokpɔ: Woate ŋu awɔ ʋudodo blibo (CBC) atsɔ akpɔe ɖa be dɔlékuiwo le ame ŋu hã. Woate ŋu awɔ dodokpɔwo abe creatinine, eGFR, kple BUN ene hã atsɔ akpɔ ayiku ƒe dɔwɔwɔ.
• Nɔnɔmetatawo dodokpɔ: Zi geɖe la, wowɔa ultrasound scan . Ɣeaɖewoɣi la, ahiã be woawɔ CT alo MRI scan be woaxɔ nyatakaka bubuwo.

Enyo, azɔ mina míaƒo nu tso atikewɔwɔ ŋu.

Taɖodzinu vevitɔ si le atikewɔwɔ ŋue nye be wòaɖe mɔxenu si xea mɔ na aɖuɖɔtoea dzi akpɔtɔ eye wòaɖe ayiku ƒe vuvu kple nyaƒoɖeamenu dzi akpɔtɔ. Atikewɔwɔ ƒe mɔnu nɔ te ɖe nusi gbɔ dɔlélea tso dzi.

Dɔléle aɖewo siwo mesẽ o ate ŋu akpɔ wo ɖokui gbɔ atike aɖeke mawɔmawɔe. Le nɔnɔme siawo tɔgbe me la, wò ɖɔkta ate ŋu aɖo aɖaŋu na wò be nàzã "lala nàkpɔe ɖa" ƒe mɔnu.

• Aɖuɖɔtoe me tsi si le dodom: Ne aɖuɖɔtoe si xea mɔ na ame kpata la, woate ŋu atsɔ mɔ̃ aɖe (nephrostomy tube) ato ŋutigbalẽa me ade ayiku me be aɖuɖɔ si ƒo ƒu la nado. Tiatia bubu enye be woatsɔ plastic-tube tsɛ aɖe si woyɔna be ``ureteral stent`` ade tsinyegoea me be wòana mɔ aɖe na aɖuɖɔtoe si sina.

Ne ayiku me kpewo tae...

• Shock wave lithotripsy: Woɖoa shock wave siwo ŋu ŋusẽ geɖe le ɖa tso ŋutilãa godo be woagbã ayiku me kpewo eye woazi wo dzi ado go to aɖuɖɔ me.
• Ureteroscopy: Wotsɔa mɔ̃ aɖe si me fotoɖemɔ̃ tsɛ aɖe le la toa tsinyegoea me be wòagbã kpewo alo aɖe wo ɖa keŋkeŋ.
• Amekoko: Ne kpe siwo lolo ŋutɔ, siwo ɖeɖe ɖa sesẽ le ŋuwò la, ahiã be woawɔ dɔ na wò be woaɖe wo ɖa. Ate ŋu ahiã hã be woawɔ dɔ na ame be woaɖe mɔxenu siwo ƒuƒu alo abiwo hena vɛ la ɖa.

Ðe esia ate ŋu anye nu vevi aɖea? Aleke mawɔ axe mɔ ɖe enu?

Ẽ, Hydronephrosis ate ŋu anye nu sesẽ ne womedae kaba o. Le nɔnɔme sesẽwo me la, ate ŋu agblẽ nu le ayikuwo ŋu eye wòana ayiku nawɔ dɔ nyuie o. Ne edzɔ alea la, ate ŋu ahiã be woado ayiku alo ayiku dodo na ame.

Gake, mègatsi dzi o! Ame akpa gãtɔ hayana keŋkeŋ ne wowɔ atike na wo kaba. Megblẽa nu le ayikuawo ŋu tegbee o.

Esia tso atikewɔwɔ me nɔnɔme bubu si gbɔ wòtso gbɔ, eyata be woaxe mɔ ɖe Hydronephrosis nu la, ele vevie be woada dɔléle si gbɔ wòtso kaba ale si woate ŋui. Ne ame si ŋu ayiku me kpewo le la, ele vevie be nàwɔ tɔtrɔ siwo hiã le agbenɔnɔ me.

Ele be nàkpɔ ɖɔkta godoo!

Ne dzesi siwo gbɔna le ŋuwò la, mègaŋe aɖaba ƒu wo dzi o. Kpɔ wò ɖɔkta kaba ale si nàte ŋui.